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Control Patient Ability to Pay Partial Amounts on Pending Balances

Written by Alyssa Elso
Updated yesterday

When you send a Pending Balance payment request, patients are typically given two options:

  • Pay Balance (full amount)

  • Pay a Different Amount (partial payment)

With this setting, your practice can decide whether patients are allowed to make partial payments—or if they must pay the full balance in one transaction.


Why This Matters

Every practice handles payments differently. This setting gives you control to align payment behavior with your financial policies.

You can use this feature to:

  • Encourage full balance collection to improve cash flow

  • Reduce follow-up work on partially paid balances

  • Offer flexibility for patients who may not be able to pay in full

  • Standardize how payment requests behave across your practice


Where to Find the Setting

  1. Go to Payments in the left-hand navigation

  2. Select Settings

  3. Navigate to Payment Automation Settings

  4. Locate the toggle: Allow partial payments for Pending Balance requests


How the Setting Works

When Enabled (Default)

  • Patients see both:

    • Pay Balance

    • Pay a Different Amount

  • Patients can enter a custom payment amount

  • Partial payments are allowed

Best for: Practices that want to give patients flexibility and increase the likelihood of collecting something rather than nothing.

When Disabled

  • The Pay a Different Amount option is removed

  • Only the Pay Balance is available

  • Patients must pay the full outstanding balance

  • The payment amount cannot be changed

Best for: Practices that want to collect balances in full and avoid managing partial payments.


What This Setting Applies To

This setting only affects Pending Balance payment request links, including those sent via:

  • Email

  • SMS

  • Direct payment links


What This Setting Does NOT Affect

This setting does not apply to:

  • Custom Amount payment requests (amount is fixed when created)

  • Payment Plans

  • Point-of-sale (POS) payments

  • In-office payment workflows


Choosing the Right Setting

Your Preference

Recommended Setting

Allow patients to pay what they can

Enabled

Require full balance payment

Disabled


Important Notes

  • The default setting is Enabled (partial payments allowed)

  • This setting applies practice-wide and cannot be customized per patient or per request

  • Disabling the setting only changes the patient’s payment options—it does not impact how payments are recorded or synced

  • The experience is consistent across desktop, mobile, email, and SMS payment links

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